Purpose: This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities. Methods: The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007). Results: The mean scores of self-esteem ($2.90{\pm}0.71$), health status ($2.15{\pm}0.53$) and adaptation ($2.98{\pm}0.44$) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%). Conclusion: These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.
The purpose of this study was to explore and compare health-promoting behaviors and its relationships with associated variables between Korean elderly and Korean-American elderly. Study instruments were questionnaire that consisted of socioeconomic characteristics, health-promoting lifestyle patterns. self-esteem and self-efficacy. Data were collected from convenient sample of 150 Korean elderly and 110 Korean-American elderly recruited from senior centers. Collected data were analyzed by t-test. ANOVA, and Pearson correlation coefficients. The results are followings : 1. In religion, $32.7\%$ of Korean elderly were protestant. while $32.7\%$ of Korean-American. elderly were protestant. $61.3\%$ of Korean elderly were living with their children, and only $17.3\%$ of Korean-American elderly were living with their children. 2. There was no significant difference in the mean HPLP score in two groups. but Korean elderly showed higher practices in health responsibility. exercise. and stress management than that of Korean-American elderly. The subjects showed the highest practices in nutrition(3.14. 3.01), and the lowest practices in exercise (2.14, 1.92). 3. The mean HPLP score of Korean elderly was 2.63, showing significant relationships with age. education and economic status. the score of Korean-American elderly was 2.54, showing significant relationships with education. 4. Self-esteem score of Korean elderly was 2.72 and Korean-American elderly was 2.73. there was no significant difference in two groups. The score of self-esteem of Korean-American elderly was showing significant relationships with presence of spouse. 5. Self-efficacy score of Korean elderly was 3.27 and Korean-American elderly was 3.21. there was no significant difference in two groups. The score of self-efficacy of both groups were showed significant relationships with education. 6. The HPLP of Korean and Korean-American elderly showed(r=.24. r= .49) positive correlations with self-esteem had positive correlations with self-efficacy(r=.42. r=.28). To draw concrete resolution for health promotion of Korean and Korean-American elderly. this study suggests followings for future research : 1. Nursing interventions enhancing exercise and stress management of the elderly must be provided. Especially developing and adopting feasible exercise programs for Korean-American elderly is highly needed. 2. Identifying the influences of culture on their practices of health-promoting lifestyle patterns among Korean. Korean-American and other racial elderly groups.
Purpose: The goal of this study was to investigate the factors influencing health promoting behaviors in elderly individuals according to types of residency. Method: This was a descriptive study. The subjects were comprised of 243 elderly aged 65 years or over living in 3 large cities. The instruments used for this study were a health promoting lifestyle, perceived health status, geriatric depression short form scale-Korea, social support scale, and self-efficacy. The data was analyzed using SPSS Win 12.0. Result: Powerful predictors of a health promoting lifestyle were depression, self-efficacy, and perceived health status for the elderly living at home. In the cases of the elderly living in institutions, a powerful predictor of a health promoting lifestyle was identified as social support. Conclusion: For the operation of long-term care insurance, a service for home care programs is needed for the elderly living at home in order to reduce depression and to increase self-efficacy and perceived health status. In addition, social support provided by health-care professionals should be developed to promote a healthy lifestyle for the elderly living in institutional environments.
Ji, Byoung-Tae;Seok, Seong-Ja;Sin, Du-Man;Jung, Jong-Hyeon;Kim, Joo-Won
Korean Journal of Health Education and Promotion
/
v.27
no.2
/
pp.69-78
/
2010
Objectives: The purpose of this study was to investigate the basic grounds for the policies of health promotion on the elderly by analyzing lifestyle. Methods: This study recruited 500 seniors aged over 65 years participating in exercise programs for the elderly provided by four branch offices of NHIC in Daegu. Results: 'Ideal type' was a group thinking that exercise programs for the elderly made their life healthy and energetic and living a happy life and 'social type' was a group answering that they helped to manage their health condition and to relieve stress and activated relationship with family members and friends to gain self-confidence. ‘Passive type’ and 'lethargic type’ said that the programs did not influence their life overall. Conclusion: Entrance into an aging society has changed values of the elderly. Their lifestyle becomes various and the effect of exercise programs for the elderly was also different according their lifestyle. Therefore, exercise programs considering lifestyles of the elderly will maximize their effect.
Objectives: The purpose of this study was to investigate the general characteristics, oral health risk factors, and denture management behaviors of the elderly and improve their oral health and life satisfaction. Methods: This study was conducted on 386 individuals from elderly welfare facilities in Gyeonggi-do selected by convenience sampling. Results: The female participants were more satisfied with their family relationship than the male participants. Among the risk factors for oral health, life satisfaction was higher among the participants who had no psychological inconvenience and bad breath symptoms. Among the factors for denture management behavior, the participants who did not receive dental checkups regularly expressed greater life satisfaction than those who had not received denture care education. Conclusions: The practical and theoretical implications for elderly welfare programs and oral health management education for denture-wearing elderly were discussed.
Purpose. This study was to correlations between oral health education experience and subjective oral health level of elderly in Yeongnam region. Methods. The data were collected from 254 elderly in Yeongnam region. Data analysis was performed using cross Analysis, t-test(One-way ANOVA), logistic regression by SPSS WIN 17.0 program. Results. According to the general characteristics of the study subjects, 42.8% of those under 75 years and 57.2% of those over 75 years of age had never been educated, 50.7% of living expenses less than 1 million won and 37.3% of those below 2 million won had never received oral health education (p<.05). The differences in subjective oral health levels with or without oral health education experience showed higher limitations of function and impairment of social psychic function in the elderly with no experience than those with oral health education experience(p<.05). Correlation between oral health education experience and subjective health level of the elderly showed a positive relationship with each factor, meaning that the subjective oral health level was higher with oral health education(p<.05). Subjective oral health levels for functional limitations or social and psychological disorders were high in the elderly without oral health education(p<.05). Conclusion. Considering the impact of oral health education experience on the subjective oral health level of the elderly as above, we should develop various continuous and systematic programs that can increase prevention and post-education practices for the increase of education beneficiaries through diverse approaches to enhance their usability.
This study was to identify the levels of perceived stress, immunity cells, physical health and depression, and their relationships among those variables in the elderly who institutionalized comparing home residents. The result of this study can be used as basic data when applying nursing interventions to increase quality of life in the elderly. The questionnaires to estimate stress, health status and depression were collected through direct interview from July to August in 1999 and immunity cells were measured by venous blood specimen collected from 9 to 10 A.M. during the same period. The collected data were analysed using SAS program. The results were as follows. The score of perceived stress of all subjects was 38.49 and perceived stress score of institutionalized elderly(42.62) was significantly higher than that in home resident elderly(34.52). All immune cells tested in this study such as total T cell, helper T cell, suppressor T cell, T4/T8 ration, total B cell, and NK cell, were all under the standard criteria of cells distributions. Most elderly who institutionalized and reside home replied that their health status was not good. However their physical health activity was mostly good even though institutionalized elderly had more disability than home residents. The highest rate was 67.3% as disability due to arthritis. The score of depression in all subjects was 8.2 that indicated having depressive symptom. There was no difference in the depression level between institutionalized elderly and home resided elderly. There was a significant correlationship between physical health and depression, however, the rest of varibles did not show any significant relationships. In summary, the immune cells in the elderly who replied perceiving low level stress, was under normal range. Their health status was perceived as 'not good' but physical health activity was perceived as 'good'. The relationships of stress, immunity, physical health and depression were partially significant but not had evidence as enough as theoretically the suggested relationship. We suggest that further studies using large sample size and more diverse variables should be performed.
Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.
The purpose of this study was to analyze the relationship between objective oral health status determined by dentists, self-perceived subjective oral health status, and oral health related quality of life (OHRQoL) in the elderly. The related factors affecting OHRQoL in the elderly were also surveyed. Four hundred and thirty elderly individuals who visited the three public health centers and four dental clinics in Busan were selected by convenience sampling. Twelve dental hygienists investigated the subjective oral health status and OHRQoL using the 14-item Oral Health Impact Profile (OHIP-14) and twentyone dentists examined the objective oral health status, including healthy remaining teeth, treated remaining teeth, functional remaining teeth, missing teeth, and non-treated missing teeth. Data were analyzed using SPSS ver. 12.0. OHRQoL was higher when oral and periodontal status was perceived as healthy, when there was no toothache, no interference in mastication, and when study subjects had the ability of food softening. It was also higher when study subjects had ${\geq}20$ remaining teeth and <9 missing teeth, and were wearing denture. The related factors affecting OHRQoL of the elderly were the type of medical insurance, toothache, ability of food softening, perception of periodontal status, and the number of healthy remaining teeth. There was a significant relationship between the subjective-objective oral health status and OHRQoL in the elderly. A continuous oral health care system aimed at retaining ${\geq}20$ healthy remaining teeth is needed to improve oral health and OHRQoL for the elderly, especially for the elderly receiving medical aid.
The purpose of the study was to investigate relationships among life satisfaction of the elderly in poor health conditions, their self esteem, health and financial status, family relationships, and social participation. A structured questionnaire was used to interview 228 elderly who were randomly selected from Sungbuk-ku, Seoul. The regression analysis showed the most powerful predictors of life satisfaction of the poor-health elderly were self esteem, relationships with their adult children, perceived financial status, relationships with grandchildren, and the amount of allowances in that order These variables accounted for 39% of life satisfaction of the sample.
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